IAHHC Member Survey 2010

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1. Please provide your basic contact information...

Please provide your basic contact information...   Name:
Company:
Email Address:
Phone Number:

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2. My agency provides the following services (check all that apply):

My agency provides the following services (check all that apply):   Personal Services Hospice Home Health (state licensed or Medicaid only) Medicare-certified Home Health

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3. Please select what you consider to be the top issues facing home & hospice care (pick 3)...

Please select what you consider to be the top issues facing home & hospice care (pick 3)...   competition from other provider groups cost of technology decreasing reimbursement fraud independent providers pay for performance RAC audits staffing unionization

Other (please specify)

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4. Please rate your level of agreement with the following statements (1 = lowest; 5 = highest):

	Strongly disagree	Disagree somewhat	Agree somewhat	Strongly agree	N/A
The Assn advocates positions that I agree with and are important to me	*Please rate your level of agreement with the following statements (1 = lowest; 5 = highest): The Assn advocates positions that I agree with and are important to me Strongly disagree	The Assn advocates positions that I agree with and are important to me Disagree somewhat	The Assn advocates positions that I agree with and are important to me Agree somewhat	The Assn advocates positions that I agree with and are important to me Strongly agree	The Assn advocates positions that I agree with and are important to me N/A
The Assn is responsive to my questions	The Assn is responsive to my questions Strongly disagree	The Assn is responsive to my questions Disagree somewhat	The Assn is responsive to my questions Agree somewhat	The Assn is responsive to my questions Strongly agree	The Assn is responsive to my questions N/A
The Assn staff is helpful	The Assn staff is helpful Strongly disagree	The Assn staff is helpful Disagree somewhat	The Assn staff is helpful Agree somewhat	The Assn staff is helpful Strongly agree	The Assn staff is helpful N/A
The Assn e-newsletter is useful to me	The Assn e-newsletter is useful to me Strongly disagree	The Assn e-newsletter is useful to me Disagree somewhat	The Assn e-newsletter is useful to me Agree somewhat	The Assn e-newsletter is useful to me Strongly agree	The Assn e-newsletter is useful to me N/A
The Home Care & the Law newsletter is useful and informative	The Home Care & the Law newsletter is useful and informative Strongly disagree	The Home Care & the Law newsletter is useful and informative Disagree somewhat	The Home Care & the Law newsletter is useful and informative Agree somewhat	The Home Care & the Law newsletter is useful and informative Strongly agree	The Home Care & the Law newsletter is useful and informative N/A
The website is useful to me	The website is useful to me Strongly disagree	The website is useful to me Disagree somewhat	The website is useful to me Agree somewhat	The website is useful to me Strongly agree	The website is useful to me N/A

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5. Please indicate your agreement with the following statements:


IAHHC well represents the interests of private duty (PSA)

Please indicate your agreement with the following statements: IAHHC well represents the interests of private duty (PSA)   Yes No My agency doesn't provide private duty

6. IAHHC well represents the interests of Hospice

IAHHC well represents the interests of Hospice   Yes No My agency doesn't provide Hospice

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7. Please rate the benefit and quality of the following services of IAHHC

	Not useful to me	Somewhat useful	Very Useful	Can't function without it	N/A or Haven't Used
Educational programming (workshops, teleconferences, etc)	*Please rate the benefit and quality of the following services of IAHHC Educational programming (workshops, teleconferences, etc) Not useful to me	Educational programming (workshops, teleconferences, etc) Somewhat useful	Educational programming (workshops, teleconferences, etc) Very Useful	Educational programming (workshops, teleconferences, etc) Can't function without it	Educational programming (workshops, teleconferences, etc) N/A or Haven't Used
Annual Conference	Annual Conference Not useful to me	Annual Conference Somewhat useful	Annual Conference Very Useful	Annual Conference Can't function without it	Annual Conference N/A or Haven't Used
List-Serves	List-Serves Not useful to me	List-Serves Somewhat useful	List-Serves Very Useful	List-Serves Can't function without it	List-Serves N/A or Haven't Used
Regulatory and Technical Assistance	Regulatory and Technical Assistance Not useful to me	Regulatory and Technical Assistance Somewhat useful	Regulatory and Technical Assistance Very Useful	Regulatory and Technical Assistance Can't function without it	Regulatory and Technical Assistance N/A or Haven't Used
Committee Meetings	Committee Meetings Not useful to me	Committee Meetings Somewhat useful	Committee Meetings Very Useful	Committee Meetings Can't function without it	Committee Meetings N/A or Haven't Used
Legislative Advocacy	Legislative Advocacy Not useful to me	Legislative Advocacy Somewhat useful	Legislative Advocacy Very Useful	Legislative Advocacy Can't function without it	Legislative Advocacy N/A or Haven't Used
Member Discount / Value-added Programs	Member Discount / Value-added Programs Not useful to me	Member Discount / Value-added Programs Somewhat useful	Member Discount / Value-added Programs Very Useful	Member Discount / Value-added Programs Can't function without it	Member Discount / Value-added Programs N/A or Haven't Used

8. If you have not attended any IAHHC workshops or conferences in the past year, please tell us why...

If you have not attended any IAHHC workshops or conferences in the past year, please tell us why...   Not relevant to me / my agency Scheduling Priced too high Priced OK but my agency finances won't allow it

Other (please specify)

9. What areas would you like the Assn to focus on over the next three (3) years?

What areas would you like the Assn to focus on over the next three (3) years?

10. Please give us any other comments or suggestions you may have:

Please give us any other comments or suggestions you may have: